Provider Demographics
NPI:1932320595
Name:ANGELINI, FRANK S (OD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:S
Last Name:ANGELINI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:MR
Other - First Name:FRANCIS
Other - Middle Name:S
Other - Last Name:ANGELINI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:100 ANITA DR
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TWP.
Mailing Address - State:NJ
Mailing Address - Zip Code:08234
Mailing Address - Country:US
Mailing Address - Phone:609-601-9097
Mailing Address - Fax:856-234-5899
Practice Address - Street 1:401 ROUTE 38 STE B5
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057
Practice Address - Country:US
Practice Address - Phone:856-234-5048
Practice Address - Fax:856-234-5899
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJ3011205152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU26812Medicare UPIN
NJ521178Medicare ID - Type Unspecified